Movement disorder in a patient with human immunodeficiency virus on anti retroviral therapy - a case report

Maliha Azmi, Zaheer Baber, Sunjay Badlani,Sunil Dodani,Asma Nasim, Mughis Sheerani

Journal of Pakistan Medical Association(2020)

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Abstract
Human Immunodeficiency Virus associated neurocognitive dysfunction can present as a case of movement disorder in a patient with prolonged antiretroviral therapy. Diagnosis was made after ruling out space occupying lesions, nutritional deficiencies and infectious causes through brain imaging and cerebrospinal fluid analysis. With multidisciplinary care and change of antiretroviral therapy to drugs with higher cerebrospinal fluid penetration, symptoms of the patient improved over a span of six months. Delayed neurological damage due to Human Immunodeficiency Virus can present with isolated cerebellar symptoms.
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Key words
Human immunodeficiency Virus,White matter disease,Neurocognitive impairment
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